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NPI Code Detail

MEDICARE: PALM BEACH ORTHOPAEDIC INSTITUTE, PA

MEDICARE: PALM BEACH ORTHOPAEDIC INSTITUTE, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332900000XNon-Pharmacy Dispensing SiteME77605FL

General Provider Information

NPI Number : 1467872242
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALM BEACH ORTHOPAEDIC INSTITUTE, PA
Provider Business Mailing Address
First Line : 4215 BURNS RD STE 200
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-4625
Country : US
Telephone Number : 561-727-1122
Fax Number :
Provider Business Practice Location Address
First Line : 7701 SOUTHERN BLVD STE 100
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-3803
Country : US
Telephone Number : 561-694-7776
Fax Number :
Authorized Official
Title or Position : CEO
Name : PRIYA CHANDRADAT
Credential :
Telephone Number : 561-694-7776
Provider Enumeration Date : 04/21/2014
Last Update Date : 08/26/2022

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Directions to “PALM BEACH ORTHOPAEDIC INSTITUTE, PA ” Practice Location

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